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  1.                 ┌──────────────────────────────────────────────┐
  2.                 │ ROBERT ROBERDS' BSX International Order Form │
  3.                 └──────────────────────────────────────────────┘
  4. I wish to register,  purchase or upgrade the following from ROBERT ROBERDS:
  5.  
  6.                                                         Register,  Disk size
  7.       Be sure to read BSXCAT.DOC for full               Purchase,  for  Purs.
  8.              pricing information.                      or Upgrade?    or
  9.                                                        Circle one: Upgrades:
  10.  
  11.   ___ copies of ____________,  @ $______ each: $______  R / P / U  5.25 / 3.5
  12.  
  13.   ___ copies of ____________,  @ $______ each: $______  R / P / U  5.25 / 3.5
  14.  
  15.   ___ copies of ____________,  @ $______ each: $______  R / P / U  5.25 / 3.5
  16.  
  17.   ___ copies of ____________,  @ $______ each: $______  R / P / U  5.25 / 3.5
  18.  
  19.   ___ copies of ____________,  @ $______ each: $______  R / P / U  5.25 / 3.5
  20.  
  21.   ___ copies of ____________,  @ $______ each: $______  R / P / U  5.25 / 3.5
  22.  
  23.   Non-US, non-Canadian S&H charges ($3.00 US): $______  (Pur. & Upgrades)
  24.  
  25.                                For a total of: $______
  26.  
  27.   I've enclosed a check or money order payable to ROBERT ROBERDS.
  28.  
  29.   Please ship purchased products to:
  30.                                                              (Please print)
  31.   Name:_____________________________________________________
  32.  
  33.   Street Address:___________________________________________
  34.  
  35.   City, State/Province:_____________________________________
  36.  
  37.   Zip Code:_____________     Country:_______________________
  38.  
  39.   Phone (Optional):_________________________
  40.  
  41.   MAKE CHECKS PAYABLE TO  ROBERT ROBERDS!  ROBERT ROBERDS!  ROBERT ROBERDS!
  42.   I understand that registered products are  not  to  be  delivered,  while
  43.   purchased products are.
  44.  - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
  45.            Send this form along with cash, check or money order
  46.                       PAYABLE TO ROBERT ROBERDS
  47.                                  to:
  48.                      ┌──────────────────────────┐
  49.                      │ROBERT ROBERDS            │
  50.                      │BSX International         │
  51.                      │806 Park Ridge Rd. Apt. A8│
  52.                      │Durham, NC 27713          │
  53.                      └──────────────────────────┘
  54.        *** PLEASE MAKE THE CHECK PAYABLE TO: ROBERT ROBERDS ***
  55.        *** DO NOT MAKE IT PAYABLE  TO  BSX INTERNATIONAL!!! ***
  56.        ***   DON'T  ***   EVEN   ***    THINK    ***   IT   ***
  57.        Please allow 1-2 weeks for delivery of purchases. Thanks!
  58. This form is optional.  If you just send money, that's cool.  Real cool.
  59.